There will come soft rains Essay Example for Free

There will come soft rains Essay Furthermore, it is Ironic that such a sophisticated example of technology, the computerized house, can be destroyed by nature, represented by the tree limb which crashes through the window and starts the fire. The use of metaphors and the irony makes the reader think about the way they are living their own life, which then leads to the reader thinking more about the story, thus their entire mind-set is focused on the plot and that builds tension, chaos and confusion. Another way in which Bradbury creates a sense of chaos and confusion is his effective use of punctuation. Throughout the description he uses simple, short sentences to make the audience read faster through the story, thus building and building on the sense of chaos. Examples of these short sentences are: In the nursery the jungle burned. Blue lions roared, purple giraffes bounded off, Ten more voices died, The crash and Smoke and silence. A great quantity of smoke. Not only does Bradbury build tension through the use of short sentences, he also uses long, detailed sentences to enhance the process of imagery. Examples of these sentences are: The house shuddered, oak bone on bone, its bared skeleton cringing from the heat, its wire, its nerves revealed as if a surgeon had torn the skin off to let the red veins and capillaries quiver in the scalded air, The panthers ran in circles, changing color, and ten million animals, running before the fire, vanished off toward a distant steaming river, and In the kitchen, an instant before the rain of fire an timber, the stove could be seen making breakfasts at a psychopathic rate, ten dozen eggs, six loaves of toast, twenty dozen bacon strips, which, eaten by fire, started the stove working again, hysterically hissing! . Due to these detailed sentences, the audience can create an accurate picture of what is happening in the story, thus they empathize more with the characters and pay closer attention to the occurrences of the plot. This will help the audience understand what is going on, and make them more willing to find out what will happen as an outcome. This means that a sense of chaos and confusion is effectively created. Word count: 989 Miles Murdoch 24/09/09 Miles Murdoch 24/09/09 There Will Come Soft Rains There Will Come Soft Rains Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Miscellaneous section.

Fighting for His Dream :: Personal Narrative Essays

Fighting for His Dream      Ã‚   For the past several years Casey Martin has taken the golf world by storm, not only with his awesome golf game, but also with the lawsuit that he has filed against the PGA Tour. He is suing the tour for the right to play with the aid of a cart because of the deterioration of the bone and muscle in his knee, which impairs his walking abilities. The rare circulatory disease that Martin has is called Klippel-Trenanuary Weber Syndrome, and can lead to the total amputation of his leg, above the knee, in the near future (White). Therefore, if he is unable to use a cart he cannot pursue his dream of playing on the PGA Tour. Even though he has won the right to use a specialized cart at the present time, the PGA Tour has filed an appeal, which could once again deny Martin the use of the cart that is necessary for him to play (Ferguson). Because Casey Martin is an amazing example of courage, determination and perseverance, he should not be turned down with his request; th is man is a great person who could prove to be a role model to many people, especially children. I believe he should be allowed to ride a cart on the PGA Tour so he can chase his dream, and in the process possibly provide someone else with some encouragement to work harder in reaching their own goals or dreams in life when they see how driven Martin has been to reach his goal.    Casey Martin, The former Stanford teammate of Tiger Woods, has a game that is good enough to compete with the best players in the world. Martin has recently proved that he is one of the best golfers in the world and is good enough to play on tour because he finished 14th on the Nike Tour money list which earned him his year 2000 tour privileges (Ferguson). This is a major accomplishment considering many past tournament champions on the PGA Tour have qualified through the Nike Tour just as Casey Martin did this past month. Also, he has proved how mentally tough he is because of the extreme pressures he has faced and overcome when playing golf at the level at which he is competing, along with the constant stress of his court case.

Holistic care approaches used in healthcare Essay

The objective of this assignment is to evaluate Holistic care approaches used in healthcare within the acute care setting specifically relating to the role of Assistant Practitioners. Holistic care takes into consideration an individual’s psychological, sociological and mental health needs. Using a holistic approach to care enhances the experience for my patients and families (Erickson 2007). The Nursing and Midwifery Council (2010) defines holistic medicine as a system of comprehensive or total patient care that considers the physical, emotional, social, economic and spiritual needs of the person, taking into consideration a person as a whole. Over the past few decades the focus of medical care has shifted from treatment of a disease and or injury to treatment of a patient (Henning, 2013). Holism has a long history derived from a Greek-indo -European root holos or hale, meaning whole, healthy, healing, holy and the act of caring (Auyang,1999). The first published literature in relation to holistic care was produced by Florence Nightingale in her book Notes on Nursing, which described the work of nurses as putting patients in the best condition for nature to act upon them (Nightingale, F 1969). However the concept of holism was first defined by polymath Jan Smuts in 1927, as the tendency in nature to form wholes that are greater than the sum of the parts through creative evolution (Smuts. 1927). Different theories on holism have been widely supported and promoted in healthcare since the 1960’s, when Florence Nightingale first identified the importance of treating patients individually, as opposed to solely treating the illness (Dossey & Keegan 2009). However this concept is new in Emergency medicine, and has been derived from the recent conflict in Afghanistan. The Army pain management task force published best practice based on a holistic, multidisciplinary, integrative approach to care (Schoolmaker, 2009). The Nursing Midwifery council (2008) states that all nurses must practice in a holistic, non-judgemental, caring and sensitive manner. Throughout this assignment the names of patients, and family members have  been substituted to comply with the Data Protection Act (1998) in order to safeguard their identities and ensure confidentiality is maintained as per NHS Policy (2012). Mr. T attended the Emergency Department (ED) after taking a poly-pharmaceutical overdose and collapsing sustaining superficial lacerations to his arms and face. Mr. T was an unkempt gentleman of middle age who was wearing soiled clothes and looked malnourished. Mr. T was known to have some minor learning difficulties and was a frequent attendee to the ED, due to his long extensive history of alcohol and illicit drug abuse. Regular attendees to the ED often suffer from alcohol and or substance misuse, where homeless and socially disengaged (Cherpitel C 1995). Little & Watson (1996) found that frequent attendees to the ED where at risk of bias care, because they often did not adhere to medical advice or except support resulting in frustration amongst staff during busy times. Pirmohamed et.al. (2000) published figures stating that the majority of alcohol-related ED patients are 18–60 years of age, and about 20% of these involve a serious health problem due to long-term alcohol and drug misuse. Blenkiron et.al. (2000) identified that 15-25% of suicides and deliberate self-harm is associated with prolonged alcohol misuse, a battle Mr. T had been fighting against for several years. Mr. T had been using cannabis from a young age which studies have indicated an increased risk of self-harm and suicide attempts, (Beautrais, et.al 1999). Cannabis has also been well documented to contribute to psychiatric and depressive disorders (Andereasson, et al 2002) & (Moore, et.al. 2007). Abraham Maslow (1908-1970) was a humanistic psychologist who developed his theory, ‘the hierarchy of needs’ (1943) a five stage model of motivational needs often depicted as a pyramid. The five stages are divided into; Psychological, safety, social, esteem and self-actualization. He believed that the lower levels of the pyramid have to be satisfied before a person could move up. Each stage was further defined stating the lowest level was what every human required to survive such as food, shelter, water, sex, air, clothing, to the top being the pinnacle of each person’s potential in life who is able to pursue inner talent, creativity and fulfillment (McLeod, 2007). At this point Mr. T was barley functioning at the lowest level as he  was unable to meet his basic nutritional needs and lacked warm clean clothing or shelter. Lack of food can affect a person’s mood, behavior and brain function, (Pessoa, 2008). I provided Mr. T with food and clean warm clothing , in order to assist with some of Mr. T’s basic humanistic psychological needs, as advocated by Maslow (1943) alongside his medical treatment, demonstrating a comprehensive holistic approach to care. Rutledge (2011) another psychologist disagreed with Maslow’s theory and developed her own theory Maslow Rewired, stating none of these needs starting with basic survival on up, are possible without social connection and collaboration, and that humans require community, Love and the feeling of belonging before harvesting the ability to survive, although this is very much more associated with the 21st century. However substantive evidence has accumulated over the past few decades showing that social ties and social support are positively and casually related to mental health, physical health and longevity (Berkman, 1995). However Mr. T had no relatives other than his brother, who was estranged due to Mr. T’s extensive alcohol abuse. He was disengaged from services, refused social support and often did not adhere to medical advice. The tablets and quantities Mr. T had taken did not require any immediate treatment likewise the lacerations to his arms and face required minimal intervention, however Holistic nursing as advocated by Dossey & Keegan (2009) treats the entire patient. Therefore as a holistic practitioner I investigated Mr. T’s Psychological issues through gentle discussion whilst a colleague dressed his wounds and administered medication to reduce the effects of alcohol withdrawal, thus assisting with Mr. T’s Physical effects which in turn will assist with his psychological needs. Alcohol is a drug with complex behavioural effects that can be pleasurable when consumed in moderation but can be unpleasant when misused, (Swift, 1999). Mr. T was initially withdrawn and reluctant to discuss his mental health problems, however through gentle questioning whilst undertaking basic tasks, a skill often used by nurses as indicted by Berg et al (2007). Mr. T started to disclose information in relation to his psychological behaviour. Whilst  discussing such issues with Mr. T it is important to maintain good eye contact and engage in a moderate amount of social touch, as this is perceived by patients as a more empathetic clinician (Montague 2013). A similar approach is advocated by, McCann & McKenna (1993) whilst Bamford – Wade & Kimble (2013) promote compassionate listening in addition to touch when dealing with patients in crisis. Therefore it was essential to speak slowly and use appropriate body and facial language to demonstrate empathy and understanding to the patient. Throughout the discussion non-verbal listening skills are respectfully used. Egan (1994) offers the acronym ‘SOLER’, an approach u sed in counselling which stands for; S – Sit square O – Open Posture L – Lean slightly forward E – Eye contact R – Relax However according to Stickley (2011) the school of nursing and midwifery has introduced a new model to student nurses, the Acronym SURETY, which stands for; S – Sit at an angle U – Uncross legs R – Relax E – Eye contact T – Touch Y – Your intuition This approach subsequently adds in ‘touch’ as advocated by McCann & McKenna (1993) along with your intuition. A nurse’s intuition is not a new concept and studies have been carried out since 1978, (Gerrity 1987) however it is a skill widely associated with experience (Hams 2000). Intuition has been acknowledged by clinicians and scholars as a vital component of clinical judgment and decision making (Rew 2007). Mr. T responded well to this approach of communication. Carl Rogers (1961), another humanistic psychologist developed the theory Core conditions which is the basic attitudes that councillors should display in order to show acceptance of the client and valuing them as a human being, and include Congruence, empathy and respect. Like Rutledge’s (2011)  approach, Rogers (1959) believed everyone needs to feel loved, valued and unconditional regard, to achieve Maslow’s findings that all humans aim to ‘self-actualize’ and fulfill their potential (1961). During the assessment it is essential to communicate effectively, minimise barriers such as using medical terminology in discussion as advocated by, Minardi & Riley (2007). Physicians frequently use medical words during consultations leading to ‘jargon’ that is potentially misunderstood thus impairing effective communication (Blackman & Sahebjalal 2014) Good communication skills allow patients and relatives alike to express their concerns and needs, subsequently building trust between them and the healthcare professional, demonstrating a two way circle of communication, identified as the most effective method by Schramm (1954). The Johari Window is a model created by Luft & Ingham (1995) and used by healthcare professionals whilst communicating with patients, that encourages self-awareness and understanding of others, ensuring practitioners are aware of their own beliefs, principles, attitudes and strengths in order to help their patients. There are some barriers to providing effective communication, as the ED is a very busy loud environment which can hinder effective communication and possibly result in communication overload Woloshynowych et al (2007). However by simply taking a patient or relative away from these areas and into a quiet room, communication barriers can be minimised. Mr. T responded well to the approaches used, and had not spoken of his feelings or depression for a long time. Mr. T explained that he had lived with his mother up to the age of twelve when she passed away following a lifetime of alcohol abuse and that this was the only life he knew. Psychologist Albert Bandura believed children imitate behaviors witnessed as they grow up which was illustrated in the experiment ‘The Bobo Doll’, (McCleod 2007). Since becoming reliant on drugs and alcohol Mr. T’s mental state had significantly deteriorated thus exacerbating his addiction and leading to unemployment and subsequently homelessness. Due to the fact Mr. T was disengaged from services and had no family support he was feeling  increasingly isolated and unloved thus amplifying Rogers. C (1961) theory OF â€Å"Core Conditions† however Mr. T was reluctant to change. DiClemente & Prochaska (1998) developed the â€Å"Transtheoretical Model of Change† which is primarily associated with addiction and the willingness to change. The five stages of this are; 1. Precontemplation – Unwillingness to change 2. Contemplation – Consideration of change 3. Preparation – Commitment to change 4. Action – modification of behaviour takes place 5. Maintenance – lifelong avoidance of relapse Mr. T was currently at the precontemplation phase and unwilling to make changes to his current circumstances. Due to increasing pressure from NHS targets, Emergency practitioners have a very limited amount of time to address such varied and extensive issues due to all patients needing to be transferred or discharged within four hours of arrival. As strong advocates of holistic practice the department strives to ensure all patients are treated holistically and provided with the relevant knowledge and support required to address and manage their problems. Mr. T was referred to the mental health team for further assessment of his psychological needs assisted with housing, and referred to the Alcohol and Drug Misuse Team in order to address his addictions. These services work in both the interests of staff and patients providing support to patients with complex alcohol and drug dependence in order to reduce the number of attendances to the ED and help to reduce care costs. The home office published data relating to alcoholism which showed the cost to the NHS is in excess of  £3.5 billion annually (Government’s Alcohol Strategy 2012). Layard (2005) concurs with these statistics stating that ‘Mental Health’ is our biggest social problem. In conclusion a Holistic approach to care considers the physical, emotional, social, economic and spiritual needs of a patient taking in to account a person as a whole not only treating the physical and medical needs of a patient. It is evident that treating patients as a whole and not the presenting complaint alone is key to providing effective healthcare for the patient and can result in fewer admissions and reduce pressure on resources. The evidence provided in this assignment has shown that the emergency  department uses all resources available, working as a multi-disciplinary team to assess and treat patients with complex mental health needs and drug and alcohol dependencies fairly without passing judgement. Effective communication plays a vital part in effective treatment of a patient although there is potential for communication to be hindered. The communicative approaches used proved favourable with Mr. T and enabled the practitioner to gain the relevant information required. The psychological approaches used with Mr. T proved effective and by treating Mr. T in a holistic manner contributed to the effective management of his care. Based on the research and evidence published holistic care significantly improves patient outcomes leading to greater patient satisfaction and contribute to reducing healthcare costs which will subsequently assist in providing a longer sustainable national health service.

Romeo and Juliet, by William Shakespeare - 532 Words

In William Shakespeare’s, classic play, Romeo and Juliet, a young girl, Juliet, has fallen in love with a boy from a feuding family, Romeo. Friar Laurence, the priest, has married them against the rules. Juliet’s cousin, Tybalt starts a fight with Romeo and Romeo kills Tybalt. Romeo, in hysteria and distress goes searching for Friar Laurence’s advice, since the Friar is the only one who knows about the marriage besides the Nurse, Romeo and Juliet. In Scene 3 of Act 3, Friar Laurence’s speech reveals many of Romeo’s character flaws. In Act 3, Scene 3, Friar Laurence is yelling at Romeo to stop feeling sorry for himself and to be grateful for what he has. He starts by saying â€Å"Art thou a man? thy form cries out thou art: Thy tears are womanish; thy wild acts denote The unreasonable fury of a beast: Unseemly woman in a seeming man!† (56) The Friar just wants Romeo to start acting like a man and to stop crying. Friar Laurence is upset with Romeo because he is just crying and feels sorry for himself. Friar Laurence just wants him to â€Å"man up.† Then the Friar goes on by saying â€Å"What rouse thee, man! Thy Juliet is alive for whose dear sake thou wast but lately dead† (56). The Friar is trying to show Romeo that there are positives into this situation. The Friar is fed up with Romeo just thinking about the bad things when the most important thing is that Juliet is still alive. Friar Laurence continues by saying â€Å"There art thou happy; Tybalt would kill thee, But thou slewsâ€℠¢t Tybalt;Show MoreRelatedRomeo and Juliet by William Shakespeare619 Words   |  3 PagesRomeo and Juliet by William Shakespeare is a play written in the 16th century that’s about a tragic love story between two teenagers who come from rival families, yet fate brings them together and despite the grudge that each family holds for the other; they fall in love. 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All is not fair in love and war, and this play examines some examples of how love and hate correlate to each other in this captivating tale of â€Å"Romeo and Juliet†. It’s a feud so deep and long lasting it seems that nothingRead MoreWilliam Shakespeare s Romeo And Juliet1287 Words   |  6 PagesLizzy Baginski English Composition 2 Mr. Spera March 10, 2015 Romeo and Juliet Research Paper The movie Romeo and Juliet is a modern classic film that took place in 1996. Overall this is a timeless story that everyone should go and watch. This movie has an intriguing plot line that tells the story of two feuding families, The Montagues and The Capulets, and how the children of these two different families fall in love. The two children overcome various obstacles such as hiding their chemistry fromRead MoreWilliam Shakespeare s Romeo And Juliet925 Words   |  4 Pagesmade by Romeo. 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Born April 1564, Shakespeare’s play ‘Romeo and Juliet’ is no doubt one of his most famous pieces. ‘Romeo and Juliet’ was first published in 1597 and its tragic story of banned love still captures the creativity of its audience today. ‘Romeo and Juliet’, althoughRead MoreWilliam Shakespeare s Romeo And Juliet 966 Words   |  4 Pages Beauty Over Gold â€Å"Beauty provoketh thieves sooner than gold.--William Shakespeare, 1623. In his book As You Like It, William Shakespeare pointed out the supremacy of love rather than the want of gold and wealth. Truly, beauty is more important to thieves than wealth. Many of the thieves in this world would rather have an elegant woman than to obtain precious rubies. After all, what good is a prosperous man if he doesn’t have a charming woman? Two famous men grab my attention who didn’t fear forRead MoreWilliam Shakespeare s Romeo And Juliet Essay1024 Words   |  5 PagesRomeo and Juliet is a tragedy written by William Shakespeare early in his career about two young star-crossed lovers whose deaths ultimately reconcile their feuding families. It was among Shakespeare s most popular plays during his lifetime and, along with Hamlet, is one of his most frequently performed plays. Today, the title characters are regarded as archetypal young lovers. Romeo and Juliet belongs to a tradition of tragic romances stretching back to antiquity. The plot is based on an Italian